| NPI | 1225377757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA CAROL BARBOUR Billing/Credentialing 276-964-4915 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: VA HCO-18763) |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: VA ADC1103638) | |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: VA ADC958134) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2022-03-08 |